Provider Demographics
NPI:1407057565
Name:MAYER, ROBERT HAROLD (PHARMACY CONSULTANT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:HAROLD
Last Name:MAYER
Suffix:
Gender:M
Credentials:PHARMACY CONSULTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 SHAWNEE TRAIL
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871
Mailing Address - Country:US
Mailing Address - Phone:973-383-6200
Mailing Address - Fax:973-383-4665
Practice Address - Street 1:99 MULFORD ROAD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:NJ
Practice Address - Zip Code:07821
Practice Address - Country:US
Practice Address - Phone:973-383-6200
Practice Address - Fax:973-383-4665
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28R100993800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist